2. Please indicate which video to DVD method that you
prefer - archive or custom authoring. For custom authoring option,
please enclose title listing and location of chapter stop points
- use back of form if necessary:

3.Return shipping and handling preference:

4. How many total copies should we produce for
you?

5. Payment Options:

Credit
Card Number:

Expiration Date:

Card Security Code: Name as it appears on the credit
card for this purchase.

Note: Texas residents please add 8% state sales tax.

6. How did you find us?

If search engine, which one
did you use?

7. Please complete this order
form, print and enclose it with
your order:

Terms and Conditions: When submitting
videotapes, films, slides or any other media to us whether for duplication,
conversion, repair, video transfer or for any other reason, client
acknowledges and agrees that Keepsake Video and any individual or
business affiliated with Keepsake Video shall not be liable for any
loss or damage to such materials following receipt and during processing
of such materials (even if due to our fault or negligence) and that
the client’s sole remedy shall be replacement with a similar amount
of blank video tape. Keepsake Video makes no other warranty and
assumes no other risk and shall not be liable for any indirect special,
incidental or consequential damages resulting from client’s use of
our services. This agreement excludes specifically any counteroffers
by client including (without limitation) statements of value in excess
of replacement cost of a similar amount of videotape or requests for
special handling. Client warrants that the videotape, film, photos,
slides or other media submitted to Keepsake Video for processing
is not protected by a third party copyright owner or if protected,
the client has obtained permission of such third party copyright
holder to make copies. Client also agrees to protect and indemnify
Keepsake Video(or it's assignees) from any costs related to copyright
infringement. Shipping and handling charges will be added to your
order. Note: Texas residents will be charged 8% state sales tax. I have read the agreement and submit my order to
Keepsake Video in accordance with the preceding terms and conditions:

8. X_____________________________________________________________Date______________________Please print this form and encloseit with your order.